Organization
RKSO LLC
Active
Other names
Mill Plain Medical
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE TAYLOR (OWNER)
(360) 253-4367
Entity
Organization
Contact information
Practice address
416 NE 87TH AVE STE 2, VANCOUVER, WA 98664-1930
(360) 253-4367
(360) 213-1602
Mailing address
416 NE 87TH AVE STE 2, VANCOUVER, WA 98664-1930
(360) 253-4367
(360) 213-1602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CF00058058
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
CF00058058
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6023550
—
WA
05
—
9056516
—
WA
Enumeration date
09/17/2006
Last updated
11/16/2023
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